Billing Codes
Medicare Benefits Schedule — Updated Quarterly

MBS Item Tracker

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Total Items
6045
MBS item numbers
Showing 5701–5750 of 6045 Pg 115/121
Item No. Description Schedule Fee Status
90054
Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)
Group A35 		$207.90 ≠ CHANGED
Item Number
90054
Schedule Fee
$207.90
Benefits
100%: $207.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)
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90092
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
Group A35 		$8.50
Item Number
90092
Schedule Fee
$8.50
Benefits
100%: $8.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.03.2019
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
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90093
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
Group A35 		$16.00
Item Number
90093
Schedule Fee
$16.00
Benefits
100%: $16.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: D
Fee: N
Benefit: E
Effective Dates
Fee from: 01.03.2019
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
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90095
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
Group A35 		$35.50
Item Number
90095
Schedule Fee
$35.50
Benefits
100%: $35.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.03.2019
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
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90096
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes, but less than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1), by a medical practitioner who is not a general practitioner
Group A35 		$57.50
Item Number
90096
Schedule Fee
$57.50
Benefits
100%: $57.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.03.2019
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes, but less than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1), by a medical practitioner who is not a general practitioner
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90098
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner—each patient (subject to subclause 2.30.1(2))
Group A35 		$88.20
Item Number
90098
Schedule Fee
$88.20
Benefits
100%: $88.20
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.11.2023
Item from: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
No changes flagged
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner—each patient (subject to subclause 2.30.1(2))
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90183
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
Group A35 		$16.50 ≠ CHANGED
Item Number
90183
Schedule Fee
$16.50
Benefits
100%: $16.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
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90188
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
Group A35 		$35.95 ≠ CHANGED
Item Number
90188
Schedule Fee
$35.95
Benefits
100%: $35.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
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90202
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
Group A35 		$69.70 ≠ CHANGED
Item Number
90202
Schedule Fee
$69.70
Benefits
100%: $69.70
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
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90212
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
Group A35 		$102.65 ≠ CHANGED
Item Number
90212
Schedule Fee
$102.65
Benefits
100%: $102.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
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90215
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
Group A35 		$166.30 ≠ CHANGED
Item Number
90215
Schedule Fee
$166.30
Benefits
100%: $166.30
Category
Category 1 — Professional Attendances
Group / Subheading
Group A35
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
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90250
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes.
Group A36 		$85.80 ≠ CHANGED
Item Number
90250
Schedule Fee
$85.80
Benefits
100%: $85.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes.
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90251
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes
Group A36 		$126.35 ≠ CHANGED
Item Number
90251
Schedule Fee
$126.35
Benefits
100%: $126.35
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes
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90252
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
Group A36 		$108.95 ≠ CHANGED
Item Number
90252
Schedule Fee
$108.95
Benefits
100%: $108.95
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
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90253
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
Group A36 		$160.50 ≠ CHANGED
Item Number
90253
Schedule Fee
$160.50
Benefits
100%: $160.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
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90254
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plant, lasting at least 20 minutes but less than 40 minutes.
Group A36 		$68.65 ≠ CHANGED
Item Number
90254
Schedule Fee
$68.65
Benefits
100%: $68.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plant, lasting at least 20 minutes but less than 40 minutes.
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90255
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes.
Group A36 		$101.05 ≠ CHANGED
Item Number
90255
Schedule Fee
$101.05
Benefits
100%: $101.05
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes.
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90256
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
Group A36 		$87.15 ≠ CHANGED
Item Number
90256
Schedule Fee
$87.15
Benefits
100%: $87.15
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
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90257
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
Group A36 		$128.45 ≠ CHANGED
Item Number
90257
Schedule Fee
$128.45
Benefits
100%: $128.45
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
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90260
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
Group A36 		$549.90 ≠ CHANGED
Item Number
90260
Schedule Fee
$549.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
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90261
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
Group A36 		$320.55 ≠ CHANGED
Item Number
90261
Schedule Fee
$320.55
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
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90264
Professional attendance by a general practitioner to review an eating disorder treatment and management plan.
Group A36 		$85.80 ≠ CHANGED
Item Number
90264
Schedule Fee
$85.80
Benefits
100%: $85.80
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a general practitioner to review an eating disorder treatment and management plan.
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90265
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to review an eating disorder treatment and management plan.
Group A36 		$68.65 ≠ CHANGED
Item Number
90265
Schedule Fee
$68.65
Benefits
100%: $68.65
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to review an eating disorder treatment and management plan.
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90266
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 30 minutes
Group A36 		$343.75 ≠ CHANGED
Item Number
90266
Schedule Fee
$343.75
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 30 minutes
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90267
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 20 minutes
Group A36 		$160.50 ≠ CHANGED
Item Number
90267
Schedule Fee
$160.50
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 20 minutes
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90271
Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
Group A36 		$111.00 ≠ CHANGED
Item Number
90271
Schedule Fee
$111.00
Benefits
100%: $111.00
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
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90272
Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes
Group A36 		— ≠ CHANGED
Item Number
90272
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: D
Benefit: E
Effective Dates
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes
Derived Fee Formula
The fee for item 90271, plus $31.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90271 plus $2.45 per patient.
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90273
Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
Group A36 		$158.90 ≠ CHANGED
Item Number
90273
Schedule Fee
$158.90
Benefits
100%: $158.90
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
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90274
Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes
Group A36 		— ≠ CHANGED
Item Number
90274
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: D
Benefit: E
Effective Dates
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes
Derived Fee Formula
The fee for item 90273, plus $31.10 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90273 plus $2.45 per patient.
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90275
Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
Group A36 		$88.85 ≠ CHANGED
Item Number
90275
Schedule Fee
$88.85
Benefits
100%: $88.85
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
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90276
Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes
Group A36 		— ≠ CHANGED
Item Number
90276
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: D
Benefit: E
Effective Dates
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes
Derived Fee Formula
The fee for item 90275, plus $24.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90275 plus $1.95 per patient.
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90277
Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
Group A36 		$127.10 ≠ CHANGED
Item Number
90277
Schedule Fee
$127.10
Benefits
100%: $127.10
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: N
Benefit: E
Effective Dates
Fee from: 01.07.2026
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
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90278
Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes
Group A36 		— ≠ CHANGED
Item Number
90278
Schedule Fee
—
Category
Category 1 — Professional Attendances
Group / Subheading
Group A36
Type Codes
Item: S
Fee: D
Benefit: E
Effective Dates
Item from: 01.11.2019
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes
Derived Fee Formula
The fee for item 90277, plus $24.85 divided by the number of patients seen, up to a maximum of six patients. For seven or more patients - the fee for item 90277 plus $1.95 per patient.
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90300
Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if: (a) the service is: performed in conjunction with a service (the lead extraction service) to which item 38358 applies; or performed in conjunction with a service (the leadless pacemaker extraction service) to which item 38373 or 38374 applies; or performed in conjunction with a service (the TAVI intermediate or low surgical risk service) to which item 38514 or 38522 applies); and (b) the surgeon: is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service; and is present for the duration of the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service, other than during the low risk pre and post extraction or transcatheter aortic valve implantation phases; and is able to immediately scrub in and perform a thoracotomy if major complications occur (H)
Group A37 		$1029.75 ≠ CHANGED
Item Number
90300
Schedule Fee
$1029.75
Category
Category 1 — Professional Attendances
Group / Subheading
Group A37
Type Codes
Item: S
Fee: N
Benefit: A
Effective Dates
Fee from: 01.07.2026
Item from: 01.07.2021
Gov. Change Flags
Fee ≠
Full Description
Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if: (a) the service is: performed in conjunction with a service (the lead extraction service) to which item 38358 applies; or performed in conjunction with a service (the leadless pacemaker extraction service) to which item 38373 or 38374 applies; or performed in conjunction with a service (the TAVI intermediate or low surgical risk service) to which item 38514 or 38522 applies); and (b) the surgeon: is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service; and is present for the duration of the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service, other than during the low risk pre and post extraction or transcatheter aortic valve implantation phases; and is able to immediately scrub in and perform a thoracotomy if major complications occur (H)
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91166
Psychological therapy health service provided by video attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration
Group M18 		$119.45 ≠ CHANGED
Item Number
91166
Schedule Fee
$119.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Psychological therapy health service provided by video attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration
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91167
Psychological therapy health service provided by video attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
Group M18 		$175.30 ≠ CHANGED
Item Number
91167
Schedule Fee
$175.30
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Psychological therapy health service provided by video attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
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91168
Video attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes
Group M18 		$119.45 ≠ CHANGED
Item Number
91168
Schedule Fee
$119.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes
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91169
Focussed psychological strategies health service provided by video attendance by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
Group M18 		$84.65 ≠ CHANGED
Item Number
91169
Schedule Fee
$84.65
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Focussed psychological strategies health service provided by video attendance by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
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91170
Focussed psychological strategies health service provided by video attendance by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
Group M18 		$119.45 ≠ CHANGED
Item Number
91170
Schedule Fee
$119.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Focussed psychological strategies health service provided by video attendance by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
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91171
Video attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes
Group M18 		$175.30 ≠ CHANGED
Item Number
91171
Schedule Fee
$175.30
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes
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91172
Focussed psychological strategies health service provided by video attendance by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
Group M18 		$74.55 ≠ CHANGED
Item Number
91172
Schedule Fee
$74.55
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Focussed psychological strategies health service provided by video attendance by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
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91173
Focussed psychological strategies health service provided by video attendance by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes in duration
Group M18 		$105.25 ≠ CHANGED
Item Number
91173
Schedule Fee
$105.25
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Focussed psychological strategies health service provided by video attendance by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes in duration
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91174
Video attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes
Group M18 		$84.65 ≠ CHANGED
Item Number
91174
Schedule Fee
$84.65
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes
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91175
Focussed psychological strategies health service provided by video attendance by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
Group M18 		$74.55 ≠ CHANGED
Item Number
91175
Schedule Fee
$74.55
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Focussed psychological strategies health service provided by video attendance by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
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91176
Focussed psychological strategies health service provided by video attendance by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
Group M18 		$105.25 ≠ CHANGED
Item Number
91176
Schedule Fee
$105.25
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Focussed psychological strategies health service provided by video attendance by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
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91177
Video attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes
Group M18 		$119.45 ≠ CHANGED
Item Number
91177
Schedule Fee
$119.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 01.03.2023
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes
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91178
Video attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
Group M18 		$32.65 ≠ CHANGED
Item Number
91178
Schedule Fee
$32.65
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
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91179
Video attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
Group M18 		$61.80 ≠ CHANGED
Item Number
91179
Schedule Fee
$61.80
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
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91180
Video attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
Group M18 		$91.20 ≠ CHANGED
Item Number
91180
Schedule Fee
$91.20
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Video attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
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91181
Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration
Group M18 		$119.45 ≠ CHANGED
Item Number
91181
Schedule Fee
$119.45
Category
Category 8 — Miscellaneous
Group / Subheading
Group M18
Type Codes
Item: D
Fee: N
Benefit: B
Effective Dates
Fee from: 01.07.2026
Item from: 13.03.2020
EMSN Cap
Max: $500.00
%: 300%
Gov. Change Flags
Fee ≠
Full Description
Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration
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100% Benefit
$207.90
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner, on care recipients in a residential aged care facility, other than a service to which another item applies, lasting at least 60 minutes and including any of the following that are clinically relevant:(a) taking an extensive patient history;(b) performing a clinical examination;(c) arranging any necessary investigation;(d) implementing a management plan;(e) providing appropriate preventive health care;for one or more health-related issues, with appropriate documentation—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1)
100% Benefit
$8.50
Fee From
01.03.2019
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of not more than 5 minutes in duration—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
100% Benefit
$16.00
Fee From
01.03.2019
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 5 minutes in duration but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
100% Benefit
$35.50
Fee From
01.03.2019
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self‑contained unit) or professional attendance at consulting rooms situated within such a complex where the patient is accommodated in the residential aged care facility (that is not accommodation in a self‑contained unit) of more than 25 minutes in duration but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient, by a medical practitioner who is not a general practitioner.
100% Benefit
$57.50
Fee From
01.03.2019
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which any other item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes, but less than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion—each patient (subject to clause 2.30.1), by a medical practitioner who is not a general practitioner
100% Benefit
$88.20
Fee From
01.11.2023
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a medical practitioner who is not a general practitioner—each patient (subject to subclause 2.30.1(2))
100% Benefit
$16.50
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting not more than 5 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
100% Benefit
$35.95
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 5 minutes but not more than 25 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
100% Benefit
$69.70
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self contained unit) or professional attendance at consulting rooms within such a complex, if the patient is a care recipient in the facility who is not a resident of a self contained unit, lasting more than 25 minutes but not more than 45 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
100% Benefit
$102.65
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 45 minutes but not more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
100% Benefit
$166.30
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance (other than a service to which another item applies) at a residential aged care facility (other than a professional attendance at a self-contained unit) or professional attendance at consulting rooms situated within such a complex, if the patient is a care recipient in the facility who is not a resident of a self-contained unit, lasting more than 60 minutes—an attendance on one or more patients at one residential aged care facility on one occasion by a prescribed medical practitioner in an eligible area—each patient (subject to subclause 2.30.1(2))
100% Benefit
$85.80
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes.
100% Benefit
$126.35
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes
100% Benefit
$108.95
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
100% Benefit
$160.50
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
100% Benefit
$68.65
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plant, lasting at least 20 minutes but less than 40 minutes.
100% Benefit
$101.05
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes.
100% Benefit
$87.15
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 20 minutes but less than 40 minutes, if the practitioner has successfully completed mental health skills training.
100% Benefit
$128.45
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to prepare an eating disorder treatment and management plan, lasting at least 40 minutes, if the practitioner has successfully completed mental health skills training.
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to prepare an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 45 minutes
100% Benefit
$85.80
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a general practitioner to review an eating disorder treatment and management plan.
100% Benefit
$68.65
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a medical practitioner (other than a general practitioner, specialist or consultant physician) to review an eating disorder treatment and management plan.
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of psychiatry to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 30 minutes
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a consultant physician in the practice of the physician’s specialty of paediatrics to review an eating disorder treatment and management plan, if: (a) the patient is referred; and (b) the attendance lasts at least 20 minutes
100% Benefit
$111.00
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
Category
Category 1 — Professional Attendances
Description
Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes
100% Benefit
$158.90
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
Category
Category 1 — Professional Attendances
Description
Professional attendance at a place other than consulting rooms by a general practitioner to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes
100% Benefit
$88.85
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes.
Category
Category 1 — Professional Attendances
Description
Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 30 minutes but less than 40 minutes
100% Benefit
$127.10
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance at consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes.
Category
Category 1 — Professional Attendances
Description
Professional attendance at a place other than consulting rooms by a medical practitioner (other than a general practitioner, specialist or consultant physician) to provide treatment under an eating disorder treatment and management plan, lasting at least 40 minutes
Fee From
01.07.2026
Category
Category 1 — Professional Attendances
Description
Professional attendance by a cardiothoracic surgeon in the practice of the surgeon’s speciality, if: (a) the service is: performed in conjunction with a service (the lead extraction service) to which item 38358 applies; or performed in conjunction with a service (the leadless pacemaker extraction service) to which item 38373 or 38374 applies; or performed in conjunction with a service (the TAVI intermediate or low surgical risk service) to which item 38514 or 38522 applies); and (b) the surgeon: is providing surgical backup for the provider (who is not a cardiothoracic surgeon) who is performing the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service; and is present for the duration of the lead extraction service, the leadless pacemaker extraction service or the TAVI intermediate or low surgical risk service, other than during the low risk pre and post extraction or transcatheter aortic valve implantation phases; and is able to immediately scrub in and perform a thoracotomy if major complications occur (H)
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Psychological therapy health service provided by video attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Psychological therapy health service provided by video attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 30 minutes but less than 50 minutes
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Focussed psychological strategies health service provided by video attendance by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Focussed psychological strategies health service provided by video attendance by an eligible psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance for a psychological therapy health service provided by an eligible clinical psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible clinical psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Focussed psychological strategies health service provided by video attendance by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Focussed psychological strategies health service provided by video attendance by an eligible occupational therapist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible occupational therapist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes in duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 20 minutes but less than 50 minutes
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Focussed psychological strategies health service provided by video attendance by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 20 minutes but less than 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Focussed psychological strategies health service provided by video attendance by an eligible social worker if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible social worker gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 50 minutes duration
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance for a focussed psychological strategies health service provided by an eligible psychologist to a person other than the patient, if: (a) the service is part of the patient’s treatment; (b) the patient has been referred to the eligible psychologist by a referring practitioner; and (c) the service lasts at least 50 minutes
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance by a participating nurse practitioner lasting at least 6 minutes and less than 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a short history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance by a participating nurse practitioner lasting at least 20 minutes if the attendance includes any of the following that are clinically relevant: (a) taking a detailed history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Video attendance by a participating nurse practitioner lasting at least 40 minutes if the attendance includes any of the following that are clinically relevant: (a) taking an extensive history; (b) arranging any necessary investigation; (c) implementing a management plan; (d) providing appropriate preventive health care
Fee From
01.07.2026
Category
Category 8 — Miscellaneous
Description
Psychological therapy health service provided by phone attendance by an eligible clinical psychologist if: (a) the patient is referred by a referring practitioner; and (b) the service is provided to the patient individually; and (c) at the completion of a course of treatment, the referring practitioner reviews the need for a further course of treatment; and (d) on the completion of the course of treatment, the eligible clinical psychologist gives a written report to the referring practitioner on assessments carried out, treatment provided and recommendations on future management of the patient’s condition; and (e) the service is at least 30 minutes but less than 50 minutes duration
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